Hypertensive Subjects are More Likely to Develop Coronary Artery Lesions: A Study by Computerised Tomography Coronary Angiography.
Coronary Computed Tomography Angiography (CCTA) is commonly used to identify coronary artery disease. In this study, the indications for CCTA referrals are reviewed, to identify the strongest predictors of CAD, as seen on CCTA. A retrospective study, reviewing the electronic health records of consec...
| Publicado en: | Angiology Vol. 76; no. 2; pp. 166 - 174 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Feb2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183687046&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183687046 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00033197 1WO jtl: Angiology issn: 00033197 maglogo: Y pubinfo: dt: Feb2025 vid: 76 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 183687046 171801107 183687046 183687046 10.1177/00033197231200774 183687046 ppf: 166 ppct: 8 formats: tig: atl: Hypertensive Subjects are More Likely to Develop Coronary Artery Lesions: A Study by Computerised Tomography Coronary Angiography. aug: au: Tserioti, Eleni Chana, Harmeet Salmasi, Abdul-Majeed affil: 4957 Imperial College School of Medicine, London, UK sug: subj: Hypertension Complications Coronary Arteriosclerosis Risk Factors Coronary Arteriosclerosis Diagnosis Coronary Angiography Methods Computed Tomography Angiography Methods Referral and Consultation Evaluation Risk Assessment Human Male Female Middle Age Aged Retrospective Design Record Review Electronic Health Records Severity of Illness Indices Univariate Statistics Diabetes Mellitus Sex Factors Hyperlipidemia Smoking Chest Pain Multiple Logistic Regression Odds Ratio Statistical Significance Data Analysis Software Descriptive Statistics Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Coronary Computed Tomography Angiography (CCTA) is commonly used to identify coronary artery disease. In this study, the indications for CCTA referrals are reviewed, to identify the strongest predictors of CAD, as seen on CCTA. A retrospective study, reviewing the electronic health records of consecutive patients who underwent CCTA between July and November 2020 at our Trust, was conducted. A total of 485 patient reports were reviewed. Of patients with moderate-to-severe CAD, 128 (73.6%) were hypertensive. Of those with severe CAD, 79 patients (76%) were hypertensive. Univariate analysis for comparison of patients with absent (n = 219), mild (n = 92), moderate (n = 70) and severe (n = 104) CAD revealed that hypertension (P <.001), diabetes mellitus (P <.001), gender (P <.001), dyslipidemia (P <.001) and smoking (P =.006), were each significantly associated with the presence of CAD on CCTA. However, multiple logistic regression analysis confirmed that hypertension has the strongest association with CAD (OR = 2.22, P <.001) Furthermore, the presence of typical chest pain in hypertensive patients was strongly associated with significant CAD, on CCTA. Among all risk factors, hypertension is the strongest independent predictor for the presence of CAD on CCTA. These results suggest that hypertension is a significant factor when considering referral for CCTA, particularly when associated with chest pain. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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